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A Descriptive Study on Abdominal Discomfort after Scoliosis Corrective Surgery

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KMID : 1004620160220030345
À̹̿µ ( Lee Mi-Young ) - ¼­¿ï¾Æ»êº´¿ø

¹ÚÇö¼÷ ( Park Hyun-Suk ) - ¼­¿ï¾Æ»êº´¿ø
±èÁø¿ø ( Kim Jin-Won ) - ¼­¿ï¾Æ»êº´¿ø
À±¼ÒÁ¤ ( Yoon So-Jeong ) - ¼­¿ï¾Æ»êº´¿ø
¹®³²°æ ( Moon Nam-Kyung ) - ¼­¿ï¾Æ»êº´¿ø
ÃÖÁ¤Èñ ( Choi Jung-Hee ) - ¼­¿ï¾Æ»êº´¿ø

Abstract

Purpose: The specific aims of this study were to investigate the incidence, time of occurrence, intervention methods and related causes of abdominal discomfort after scoliosis corrective surgery.

Methods: A retrospective review was carried out on all patients with diagnosis of adolescent idiopathic scoliosis (n=420) who received a posterior spinal fusion between January 2012 and December 2014. Logistic regression analysis was used to identify significant related factors.

Results:One hundred eighty five of the patients in the study (44.0%) reported abdominal discomfort (AD group). The discomfort was worst on 2nd days after operation (31.4%), and 3rd days (27.0%). Ninety seven patients (52.4%) in the AD group received enema treatment. Significant related factors for developing abdominal discomfort were distal fusion levels (OR=2.43, p<.006) and increased operative blood loss (OR=1.03, p<.001).

Conclusion: The incidence of abdominal discomfort after scoliosis corrective surgery in this study was 44%. Abdominal discomfort, therefore, is a main concern in reference to scoliosis corrective surgery, and solutions need to be searched and reported in future research.
KeyWords
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Abdomen, Discomfort, Scoliosis, Surgery
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